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FAMILY PRACTICE ASSOCIATES, P.C.

Company Details

Name: FAMILY PRACTICE ASSOCIATES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 15 Jul 1991 (33 years ago)
Entity Number: 1561420
ZIP code: 13619
County: Jefferson
Place of Formation: New York
Address: 3 BRIDGE ST, STE 3, CARTHAGE, NY, United States, 13619

Contact Details

Phone +1 315-786-1111

Phone +1 315-493-7334

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY PRACTICE ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2020 161398558 2021-10-08 FAMILY PRACTICE ASSOCIATES, P.C. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 3154937334
Plan sponsor’s address 3 BRIDGE STREET SUITE 3, CARTHAGE, NY, 136191377

Signature of

Role Plan administrator
Date 2021-10-08
Name of individual signing KENNETH FISH
Role Employer/plan sponsor
Date 2021-10-08
Name of individual signing KENNETH FISH
FAMILY PRACTICE ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2019 161398558 2020-05-07 FAMILY PRACTICE ASSOCIATES, P.C. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 3154937334
Plan sponsor’s address 3 BRIDGE STREET SUITE 3, CARTHAGE, NY, 136191377

Signature of

Role Plan administrator
Date 2020-05-07
Name of individual signing KENNETH FISH
Role Employer/plan sponsor
Date 2020-05-07
Name of individual signing KENNETH FISH
FAMILY PRACTICE ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2018 161398558 2019-05-17 FAMILY PRACTICE ASSOCIATES, P.C. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 3154937334
Plan sponsor’s address 3 BRIDGE STREET SUITE 3, CARTHAGE, NY, 136191377

Signature of

Role Plan administrator
Date 2019-05-17
Name of individual signing KENNETH FISH
Role Employer/plan sponsor
Date 2019-05-17
Name of individual signing KENNETH FISH
FAMILY PRACTICE ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2017 161398558 2018-04-20 FAMILY PRACTICE ASSOCIATES, P.C. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 3154937334
Plan sponsor’s address 3 BRIDGE STREET SUITE 3, CARTHAGE, NY, 136191377

Signature of

Role Plan administrator
Date 2018-04-20
Name of individual signing KENNETH FISH
Role Employer/plan sponsor
Date 2018-04-20
Name of individual signing KENNETH FISH
FAMILY PRACTICE ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2016 161398558 2017-06-29 FAMILY PRACTICE ASSOCIATES, P.C. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 3154937334
Plan sponsor’s address 3 BRIDGE STREET SUITE 3, CARTHAGE, NY, 136191377

Signature of

Role Plan administrator
Date 2017-06-29
Name of individual signing KENNETH FISH
Role Employer/plan sponsor
Date 2017-06-29
Name of individual signing KENNETH FISH
FAMILY PRACTICE ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2015 161398558 2016-03-28 FAMILY PRACTICE ASSOCIATES, P.C. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 3154937334
Plan sponsor’s address 3 BRIDGE STREET SUITE 3, CARTHAGE, NY, 136191377

Signature of

Role Plan administrator
Date 2016-03-28
Name of individual signing WENDY CANFIELD
Role Employer/plan sponsor
Date 2016-03-28
Name of individual signing KENNETH FISH
FAMILY PRACTICE ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2014 161398558 2015-03-27 FAMILY PRACTICE ASSOCIATES, P.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 3154937334
Plan sponsor’s address 3 BRIDGE STREET SUITE 3, CARTHAGE, NY, 136191377

Signature of

Role Plan administrator
Date 2015-03-26
Name of individual signing WENDY CANFIELD
Role Employer/plan sponsor
Date 2015-03-27
Name of individual signing KENNETH FISH
FAMILY PRACTICE ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2013 161398558 2014-04-24 FAMILY PRACTICE ASSOCIATES, P.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 3154937334
Plan sponsor’s address 3 BRIDGE STREET SUITE 3, CARTHAGE, NY, 136191377

Signature of

Role Plan administrator
Date 2014-04-24
Name of individual signing WENDY CANFIELD
Role Employer/plan sponsor
Date 2014-04-24
Name of individual signing KENNETH FISH
FAMILY PRACTICE ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2012 161398558 2013-05-29 FAMILY PRACTICE ASSOCIATES, P.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 3154937334
Plan sponsor’s address 3 BRIDGE STREET SUITE 3, CARTHAGE, NY, 136191377

Signature of

Role Plan administrator
Date 2013-05-29
Name of individual signing WENDY CANFIELD
Role Employer/plan sponsor
Date 2013-05-29
Name of individual signing KENNETH FISH
FAMILY PRACTICE ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2011 161398558 2012-04-11 FAMILY PRACTICE ASSOCIATES, P.C. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 3154937334
Plan sponsor’s address 3 BRIDGE STREET SUITE 3, CARTHAGE, NY, 136191377

Plan administrator’s name and address

Administrator’s EIN 161398558
Plan administrator’s name FAMILY PRACTICE ASSOCIATES, P.C.
Plan administrator’s address 3 BRIDGE STREET SUITE 3, CARTHAGE, NY, 136191377
Administrator’s telephone number 3154937334

Signature of

Role Plan administrator
Date 2012-04-11
Name of individual signing KENNETH FISH
Role Employer/plan sponsor
Date 2012-04-11
Name of individual signing KENNETH FISH

Chief Executive Officer

Name Role Address
KENNETH FISH, DO Chief Executive Officer 3 BRIDGE ST, STE 3, CARTHAGE, NY, United States, 13619

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 3 BRIDGE ST, STE 3, CARTHAGE, NY, United States, 13619

History

Start date End date Type Value
2001-10-03 2011-07-29 Address 40 FRANKLIN STREET, SUITE 1, CARTHAGE, NY, 13619, USA (Type of address: Chief Executive Officer)
2001-10-03 2011-07-29 Address 40 FRANKLIN STREET, SUITE 1, CARTHAGE, NY, 13619, USA (Type of address: Principal Executive Office)
2001-10-03 2011-07-29 Address 40 FRANKLIN STREET, SUITE 1, CARTHAGE, NY, 13619, USA (Type of address: Service of Process)
1993-02-23 2001-10-03 Address ONE HOSPITAL DR., CARTHAGE, NY, 13619, USA (Type of address: Chief Executive Officer)
1993-02-23 2001-10-03 Address ONE HOSPITAL DR., CARTHAGE, NY, 13619, USA (Type of address: Principal Executive Office)
1991-07-15 2001-10-03 Address ONE HOSPITAL DRIVE, CARTHAGE, NY, 13619, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
130711006440 2013-07-11 BIENNIAL STATEMENT 2013-07-01
110729002341 2011-07-29 BIENNIAL STATEMENT 2011-07-01
090706003088 2009-07-06 BIENNIAL STATEMENT 2009-07-01
070718003110 2007-07-18 BIENNIAL STATEMENT 2007-07-01
050915002283 2005-09-15 BIENNIAL STATEMENT 2005-07-01
030703002607 2003-07-03 BIENNIAL STATEMENT 2003-07-01
011003002434 2001-10-03 BIENNIAL STATEMENT 2001-07-01
991103002000 1999-11-03 BIENNIAL STATEMENT 1999-07-01
980615000321 1998-06-15 CERTIFICATE OF AMENDMENT 1998-06-15
970715002131 1997-07-15 BIENNIAL STATEMENT 1997-07-01

Date of last update: 14 Nov 2024

Sources: New York Secretary of State